Wang, Shouwen
Wang, Shouwen is an individual health care provider with primary practice located at 3320 N 2Nd St , Phoenix AZ 85012-2319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Wang, Shouwen can be contacted via phone (602) 200-8288.Contact Information
Primary practice address
3320 N 2Nd St
Phoenix AZ 85012-2319
Phone: (602) 200-8288
Fax: (602) 200-8549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 32615 | Arizona |
Profile Details
| NPI number | 1700889326 |
|---|---|
| LBN Legal business name | Wang, Shouwen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Jun 26th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700889326 | NPPES |
| Arizona | MEDICAID | 847254 |
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